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Q: medical ( Answered,   0 Comments )
Subject: medical
Category: Miscellaneous
Asked by: pitbull-ga
List Price: $5.00
Posted: 09 Mar 2003 21:21 PST
Expires: 08 Apr 2003 22:21 PDT
Question ID: 174051
treatment for failed carpal tunnel surgery
Subject: Re: medical
Answered By: jeanwil-ga on 10 Mar 2003 02:03 PST
Hi pitbull-ga,

Here is some information for you to read.

“In many cases a proper diagnosis can be formulated by a failed CTS
surgery. If CTS surgery is performed in the flexor retinaculum area,
and the desired clinical result is not achieved, it is possible that
the lesion exists elsewhere. Due to the inherent side effects of
surgery and the high failure rate of CTS surgeries in particular,
other less invasive treatments should be exhausted first after the
proper diagnosis is made.”

Failed CTS Surgery
" I recently had a carpel tunnel release done on both of my
wrists. I still am experiencing pain in my ring finger and
middle finger and also by my elbow……..”

Other possible treatments for CTS
• stretches
• acupuncture, massage and physical therapy.

Other Forms of Treatment

Physical Therapy
Physical therapists employ a number of techniques for rehabilitation
and restoration of normal body functions, such as Ultrasound and
Interferential Current Therapy. Both can reduce inflammation and
Fixated joints, those that have "slipped" from their proper position,
can create what is known as a "double crush" where any combination of
misaligned joints can create extra-local discomfort. A neck or back
problem in combination with a shoulder fixation could create symptoms
similar to those of carpal tunnel syndrome.
An osteopath's training is similar to a medical doctor's, but with a
more holistic approach, by examinig your entire body, looking for
contributing factors unrelated to your wrist, such as a double crush.
An osteopath can prescribe medicine and is licensed to perform
By applying needles to specific points on the body, acupuncture
stimulates the brain into releasing pain relieving endorphins.
The rubbing and manipulation of muscle tissue in massage increases
blood flow throughout the region and increases the range of motion.
Massage is probably the most often recommended therapy for many types
of repetitive strain injury.
A homeopath, after taking into account extensive patient histories,
will suggest a natural remedy that stimulates the body's own defenses
against a particular ailment.

“So your carpal tunnel surgery failed. Why? The obvious answer is that
your carpal tunnel syndrome was not caused by mechanical compression
of the median nerve at the wrist. Is there anything you can do, now?
Yes, there are many things you can do that will increase your
microscopic blood flow to the median nerve at the wrist. Things that
will promote blood flow include positive thoughts and gratitude to God
for His many blessings; an erect posture whether sitting or standing
or walking; loose fitting clothing that helps the lungs and digestive
organs to function freely; exercise such as walking or swimming,
especially out of doors and stretching wrist exercises, all promote
blood flow. A whole plant diet that is unrefined means nutrition that
is high in fiber and protective phytochemicals. This is one of the
most important ways to increase blood flow. This is only the tip of
the iceberg. Have faith, dear friend, in God. Failed surgery is not
the end of the world.”

“It's Not Carpal Tunnel Syndrome
This is a well-written book authored by Suparna Damany, a physical
therapist and Jack Bellis, a multimedia author, that discusses many of
the issued faced by computer users who have begun to experience pain
and discomfort while working. Mr. Bellis has himself undergone failed
RSI surgery, while Ms. Damany has successfully treated RSI sufferers
whose surgeries also failed to provide long-term relief. “

Failed Carpal Tunnel Surgery:

“Failed endoscopic carpal tunnel release. Operative findings and
results of open revision surgery.

Varitimidis SE, Herndon JH, Sotereanos DG.

Department of Orthopaedic Surgery, University of Pittsburgh Medical
Center, PA 15213, USA.

From 1994 to 1997, 22 patients (24 wrists) underwent open revision
carpal tunnel release for persistent carpal tunnel syndrome after a
primary endoscopic release. The age range was from 21 to 77 years. At
the time of revision surgery, 22 wrists had an incomplete release of
the flexor retinaculum and two patients had median nerve transection
(one partial and one complete). One patient had release of Guyon's
canal and not the carpal tunnel. After the open revision carpal tunnel
release, 20 patients returned to work with five patients returning to
jobs of lighter duty. In addition, these 20 patients had significant
improvement in symptoms. The remaining two patients had sustained a
median nerve injury and did not return to work. One of these patients
developed a painful neuroma in continuity of the median nerve which
required vein wrapping with a saphenous vein graft. This study
indicates that endoscopic release of the flexor retinaculum holds the
same risks and complications as open release. Based on our study we
believe that patients with persistent carpal tunnel syndrome after
failed endoscopic flexor retinaculum release can be successfully
treated with open release.”

Other information:

Splinting vs Surgery for Carpal Tunnel Syndrome

Treatment Options for Carpal Tunnel Syndrome

Treatment for Carpal Tunnel Syndrome

Hope this helps

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